Healthcare Provider Details

I. General information

NPI: 1114756434
Provider Name (Legal Business Name): SARGBA TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2024
Last Update Date: 07/26/2024
Certification Date: 07/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 FISHERVILLE RD # SITE2
CONCORD NH
03303-1003
US

IV. Provider business mailing address

108 FISHERVILLE RD # SITE2
CONCORD NH
03303-1003
US

V. Phone/Fax

Practice location:
  • Phone: 603-219-6813
  • Fax:
Mailing address:
  • Phone: 603-219-6813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: THOMAS SAYSAW
Title or Position: DIRECTOR
Credential:
Phone: 603-219-6813